Review the section “Diseases of the Veins” (pp. 598-599) in Chapter 23 of the Huether and McCance text.

Advanced practice nurses often treat patients with vein and artery disorders such as chronic venous insufficiency (CVI) and deep venous thrombosis (DVT). While the symptoms of both disorders are noticeable, these symptoms are sometimes mistaken for signs of other conditions, making the disorders difficult to diagnose. Nurses must examine all symptoms and rule out other potential disorders before diagnosing and prescribing treatment for patients. In this Assignment, you explore the epidemiology, pathophysiology, and clinical presentation of CVI and DVT.

To Prepare

· Review the section “Diseases of the Veins” (pp. 598-599) in Chapter 23 of the Huether and McCance text. Identify the pathophysiology of chronic venous insufficiency and deep venous thrombosis. Consider the similarities and differences between these disorders.

· Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Think about how the factor you selected might impact the pathophysiology of CVI and DVT. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.

· Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct two mind maps—one for chronic venous insufficiency and one for venous thrombosis. Consider the epidemiology and clinical presentation of both chronic venous insufficiency and deep venous thrombosis.

Assignment: 

Write a 2- to 3-page paper that addresses the following:

· Compare the pathophysiology of chronic venous insufficiency and deep venous thrombosis. Describe how venous thrombosis is different from arterial thrombosis.

· Explain how the patient factor you selected might impact the pathophysiology of CVI and DVT. Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.

· Construct two mind maps—one for chronic venous insufficiency and one for deep venous thrombosis. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.

Required Readings

Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

Chapter 23, “Structure and Function of the Cardiovascular and Lymphatic Systems”

This chapter examines the circulatory system, heart, systemic circulation, and lymphatic system to establish a foundation for normal cardiovascular function. It focuses on the structure and function of various parts of the circulatory system to illustrate normal blood flow.

Chapter 24, “Alterations of Cardiovascular Function”: This chapter presents the pathophysiology, clinical manifestations, evaluation, and treatment of various cardiovascular disorders. It focuses on diseases of the veins and arteries, disorders of the heart wall, heart disease, and shock.

Chapter 25, “Alterations of Cardiovascular Function in Children” : This chapter examines cardiovascular disorders that affect children. It distinguishes congenital heart disease from acquired cardiovascular disorders.

Hammer, G. D., & McPhee, S. J. (2019). Pathophysiology of disease: An introduction to clinical medicine (8th ed.). New York, NY: McGraw-Hill Education.

Chapter 11, “Cardiovascular Disorders: Vascular Disease”: This chapter begins with an overview of the vascular component of the cardiovascular system and how the cardiovascular system is normally regulated. It then describes three common vascular disorders: atherosclerosis, hypertension, and shock.

Required Media

Laureate Education, Inc. (Executive Producer). (2012a). Alterations of cardiovascular functions PPT lecture. Baltimore, MD: Author.

This media presentation outlines common alterations of cardiovascular function, including disorders of the veins and arteries.

Review the animations, case studies, and review questions on the evolve textbook support link. http://evolve.elsevier.com/huether

 

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Describe the differences between a single instance of political comedy (use a political cartoon-please see attachment or a Saturday Night Live sketch-please check this video) and its “real life” equivalent moment or situation.

Nothing’s Serious if Nothing’s Funny

For the first essay your task is to think critically about comedic (parodies or satires) and “straight” depictions of the current political situation. You will use a variety of skills covered in class—making inferences, analyzing media imagery, identifying audience and purpose, and understanding and articulating hidden assumptions.

Write an essay (1,500 words) that analyzes the intent of one instance of comedic political “coverage.” Describe the differences between a single instance of political comedy (use a political cartoon-please see attachment or a Saturday Night Live sketch-please check this video) and its “real life” equivalent moment or situation. Examine the explicit and implicit points the two versions make by determining their audiences and purposes, and by making inferences and judgments based on imagery and language.

Requirements:

  • One outside print source of analysis of the real moment/situation (ethos check required—do the basic research on the author’s credentials, his or her apparent or stated biases, etc.)
  • Cite all sources in MLA (and include a Works Cited page).
  • MLA document format: (see handbook) typed, double-spaced, serif-font (Times New Roman or Cambria), 1” or 1.25” margins, name/# on header.

Also, you need to write an outline

¶/EC:

Use one political meme to augment your points/claims about the differences between the so-called reality and cartoon, parody, or satire. Please note:  will only be given to those whose papers meet the word count and could stand alone . If your paper lacks in either of these ways, I will look at the cartoon/meme paragraph as a necessary piece .

 

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Identify an issue or problem in your current work setting that could be the focus of a change project.

 Problem Evaluation and Formulation of Solutions 

Identify an issue or problem in your current work setting that could be the focus of a change project. Using the format outlined on p. 201 of Puccio, Mance, & Murdock, outline the pluses, potentials, concerns, and ways to successfully implement change (PPCo). Develop an 8-10 page paper which examines, in depth, the items you have outlined.

In your assessment of the problem and identification of possible solutions, include the following in your discussion. Provide supporting literature (5-7 articles minimum) regarding the issues identified as you engage in the examination of the problem.

1. Background of the problem. What is the history of the issue or problem? Why do you believe change is necessary? Advantages to implementing change. What are the positive aspects of initiating change? (Pluses)

2. Possibilities related to implementing change. How might the organization benefit from implementing change? (Potentials)

3. Possible obstacles to implementing change. What will you need to address in order to successfully implement change? (Concerns)

4. Brainstorm ideas for overcoming obstacles identified in #3. What can be done to overcome concerns? (Overcome)

 

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Discuss how an individual can use effective communication techniques to overcome workplace challenges,.

Prepare a 10-minute presentation (10-15 slides, not including title  or reference slide) on organizational culture and values.

  1. Describe how alignment between the values of an organization and the values of the nurse impact nurse engagement and patient  outcomes.
  2. Discuss how an individual can use effective communication techniques to overcome workplace challenges, encourage collaboration across groups, and promote effective problem solving.    Incorporate how system needs and the culture of health may influence the outcomes. How does this relate to health promotion and disease prevention in the larger picture?
  3. Identify a specific instance from your own professional experience in which the values of the organization and the values of the individual nurses did or    did not align. Describe the impact this had on nurse engagement and    patient outcomes.

While APA style format is not required for the body of this  assignment, solid academic writing is expected and in-text citations  and references should be presented using APA documentation guidelines,  which can be found in the APA Style Guide, located in the Student  Success Center.

This assignment uses a rubric. Please review the rubric prior to  beginning the assignment to become familiar with the expectations for  successful completion.

You are not required to submit this assignment to LopesWrite.

 

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Discuss why personal affiliations and networking are important for nursing leaders

Report Issue

#1

A new director decides to reorganize the department you work in. This reorganization comes about without input from the employees and many of the nurses that you oversee are feeling resentful of the change. As a nurse leader, identify factors that may lead to conflict and ways you can manage them.

#2

Personal affiliations and networking are important for nursing  leaders. Why are these important? How will they benefit you in your  career future? Identify two affiliations or a situation in which you  have networked for the health of a population or your community.

 

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Describe patient-care technologies as appropriate to address the needs of a diverse patient population.

Discussion topic relates to the following Course Outcome (CO).

  • CO1 Describe patient-care technologies as appropriate to address the needs of a diverse patient population. (PO 1)

Share your experiences with healthcare information systems, past or present. Has it been an easy transition or difficult? Why do you believe your experience has been positive or negative? If you are currently not working, how has the medical record exposure in nursing school impacted your current knowledge?

reference : Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses & healthcare professionals (6st ed.). New York, NY: Pearson

 

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Discuss various ways of keeping the skin nourished.

CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)

CO3 Utilize effective communication when performing a health assessment. (PO 3)

Your home health agency has received an order from a local hospital to evaluate and treat an elderly woman being discharged from its medical surgical unit.

Millie Gardner, an 83-year-old female patient, is being discharged home today to the care of her husband Fred (87 years old) following a 9-day hospitalization for pneumonia, dehydration, and failure to thrive. She has a history of hypertension (HTN), Type II Diabetes, and cerebral vascular accident (CVA) with left-sided weakness. Patient is alert and oriented but does have periods of forgetfulness during the overnight hours. Patient has intermittent incontinence of bowel and bladder and requires assistance with all activities of daily living (ADLs).

Medications:

Lopressor

Lisinopril

Plavix

Metformin

Novolin R per sliding scale *NEW*

Multivitamin

Colace

Zithromax *NEW*

Upon arrival you are greeted by Champ, the couple’s rambunctious miniature Doberman pinscher dog. Millie is in her wheelchair staring blankly out the window, and Fred is busy in the kitchen preparing the couple’s lunch.

Based on the scenario above, please use the general survey process to describe the areas that you would be observing immediately upon entry to the home.

What, if any, concerns related to Millie’s skin and nutritional status do you have?

What nursing interventions will you include in the plan of care to address these concerns?

What teaching strategies will you use to educate Millie and Fred on the new medications?

Using the SBAR, please include the information that you will communicate to the physician’s office at the completion of the visit.

Professors advise: “This scenario is not such an unusual one.  While people are living longer and many times maintain independence into their 80’s, their situations can be tenuous at best.    If you were caring for this couple, what would your concerns be?   Be creative with your responses.”

 

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Discuss the concept of class participation.

1. The highest potential points for in-class participation are 5-points. Please use these guidelines for online  participation.

  1. To earn points for weekly class participation, you must submit a one paragraph (100-125 words) summary of one of the required Polit and Beck (2018) readings from each unit.
  2. APA format is not required, but the material must be paraphrased, cited, and referenced. The citation and reference will always be Polit and Beck (2018). 

Textbook:

ISBN:

978-1-4963-5129-6

Polit, D. E & Beck, C. T. (2018). 

Essentials of nursing research: Appraising

evidence for nursing practice

(9th. ed.). Philadelphia, PA: Wolters Kluwer 

3.Include the page number(s) you found the material on in your citation.

4.Put your name, date, and unit number at the top of the paper, immediately followed by the summary and then the reference.

5.All of the above should be submitted on one page.  

 

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Discuss Toacco use and prevalence.

The U.S. Department of Health & Human Services released a comprehensive Clinical Practice Guideline for Treating Tobacco Use and Dependence–2008 Update

https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/update/index.html

The goal of these recommendations is that clinicians strongly recommend the use of effective tobacco dependence counseling and medication treatments to their patients who use tobacco, and that health systems, insurers, and purchasers assist clinicians in making such effective treatments available.

After reading these recommendations answer the following questions.

1. what are the clinical interventions for patients unwilling to quit cigarette smoking?

2. According to the best practices what are the best strategies to help your clients quit smoking?

3. are there any specific smoking cessation recommendations for especial populations such as teenagers or the elderly?

Posting should be a minimum of one short paragraph and a maximum of two paragraphs.  Word totals  should be in the 100-200 words range.   Include a reference, link, or citation when appropriate. APA 6th edition format for references as well as in-text citations is expected.

 

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Discuss Central line Associated Bloodstream infections.


The first step of the EBP process is to develop a question from the nursing practice problem of interest.

Select a practice problem of interest to use as the focus of your research.

Start with the patient and identify the clinical problems or issues that arise from clinical care.

Following the PICOT format, write a PICOT statement in your selected practice problem area of interest, which is applicable to your proposed capstone project.

The PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Conduct a literature search to locate research articles focused on your selected practice problem of interest. This literature search should include both quantitative and qualitative peer-reviewed research articles to support your practice problem.

Select six peer-reviewed research articles which will be utilized through the next 5 weeks as reference sources. Be sure that some of the articles use qualitative research and that some use quantitative research. Create a reference list in which the six articles are listed. Beneath each reference include the article’s abstract. The completed assignment should have a title page and a reference list with abstracts.

Suggestions for locating qualitative and quantitative research articles from credible sources:

  1. Use a library database such as CINAHL Complete for your search.
  2. Using the advanced search page check the box beside “Research Article” in the “Limit Your Results” section.
  3. When setting up the search you can type your topic in the top box, then add quantitative or qualitative as a search term in one of the lower boxes. Research articles often are described as qualitative or quantitative.

To narrow/broaden your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Diabetes and pediatric and dialysis. To determine what research design was used, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 

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